Reference request form

1

Dear Sir/Madam

EMPLOYMENT/CHARACTER REFERENCE REQUEST FOR:

The above-named person has been offered the position of Health Care Assistant and has given your name as a referee.

I would be grateful if you could please provide a reference outlining the applicant's suitability for this post by completing the enclosed employment reference request form. A copy of the relevant job description is also enclosed to assist you.

Could you kindly complete the reference at your earliest convenience as the applicant will not be able to commence employment until we have received all satisfactory clearances. A prompt response would be greatly appreciated.

Your reply will be shared with the interview panel members, and I would like to remind, you have a duty of care to give an accurate account of this person. In line with the Data Protection Act individuals have a right to a copy of information held about them that is covered by the Act and we would therefore be obliged to consider a request for a copy under the normal rules of access.

Yours sincerely,

Kind Regards, Norma/Nomsa (SHE/HER) https://prospect.org.uk/news/why-we-should-all-start-using-pronouns

Management Team | Everready Care Solutions LTD. CQC Registered.

Phone: +44 7595 622176 | +44 7769 044722

Email: info@everreadycaresolutions.co.uk

2

Employment/Character Reference Request form* This field is required.

Full Name

Reference number

Post applied for

3

How long have you know the applicant?* This field is required.

4

In what capacity have you known the applicant during this time?* This field is required.

5

Please comment on the applicant's characteristics as far as possible* This field is required.

6

Do you know of any reason why this person should not be employed by this trust?* This field is required.

YESNO

7

Referee's full name* This field is required.

First Name

Last Name

8

Signature* This field is required.

9

Date signed* This field is required.

10

Profession standing in the community?* This field is required.

11

Professional qualifications?* This field is required.

12

Day time telephone number* This field is required.

Country Code

Area Code

Phone Number

13

If you would like to make any other comments, please attach a separate sheet